Tyler Nurse Begins Explained for Students (Easy Guide)

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Original Question

Tyler Liu The nurse begins the assessment and notes that Tyler has an apical heart rate of 168/minute, a respiratory rate of 65/minute, and his oxygen saturation is 95% on room air. Auscultation reveals crackles in the lower lung fields bilaterally, and a cardiac murmur. His skin color is as expected for his race. The nurse continues the assessments on the infant’s peripheral vascular and cardiovascular systems. Which of the following additional assessments should the nurse perform? (Select all that apply.) Obtain the infant’s weight while naked. Visualize for edema around the eyes, in the legs and arms, and in the genital area. Palpate brachial, radial, and femoral pulses bilaterally. Obtain a doppler to assess pedal pulses. Palpate the chest to determine the point of maximal impulse (PMI). Assess the capillary refill time on the infant’s abdomen or forehead.

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